DALTON DEAN BAKER

KIRKSVILLE CLINIC CORP

Dr DALTON DEAN BAKER is a male medical professional, specializing in Nurse Practitioner. He graduated in 2017.

Contact

KIRKSVILLE CLINIC CORP

800 W JEFFERSON ST
KIRKSVILLE
MO
635011443

Tel: 6606262235

DALTON DEAN BAKER Information

Npi 1326552191
Pac Id 7517218381
Professional Enrollment Id I20180918004401
Last Name BAKER
First Name DALTON
Middle Name DEAN
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KIRKSVILLE CLINIC CORP
Group Practice Pac Id 4486619269
Number Of Group Practice Members 16
Line 1 Street Address 800 W JEFFERSON ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City KIRKSVILLE
State MO
Zip Code 635011443
Phone Number 6606262235
Hospital Affiliation Ccn 1 260022
Hospital Affiliation Lbn 1 NORTHEAST REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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